- AdventHealth (Tampa, FL)
- …and other diseases. **The ro** **le you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and ... and HCPCS Level II procedure codes for grouping into Ambulatory Payment Classifications (APCs) and statistical reporting. Responsible for monitoring the outpatient… more
- McLaren Health Care (Shelby Township, MI)
- …and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... requirements. + Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient and commercial… more
- Molina Healthcare (Seattle, WA)
- …JOCs on exception, including standardized fee for service and other core payment method contracts with predefined, common programs. Typically does not entail heavy ... and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple ...not limited to Fee for Service and Basic Alternative Payment Methods including Pay for Performance. * Assesses and… more
- Army National Guard Units (St. Augustine, FL)
- …of the FL HRO, National Guard. Responsibilities As a, HUMAN RESOURCES SPECIALIST (LABOR REL/EMPL REL), GS-0201-12, you will provides program management and guidance ... appraisals and provides reports. Coordinates between management, and HR Development Specialist in the development of performance improvement plans. Manages the use… more
- Hartford HealthCare (Farmington, CT)
- …review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments and overpayments. Provides ongoing ... day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily...and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and… more
- City of New York (New York, NY)
- …to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy ... working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more
- Molina Healthcare (Ann Arbor, MI)
- …a medical review to facilitate a referral to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Billings Clinic (Billings, MT)
- …Starting Wage DOE: $17.15 - $21.44 per hour The Self-Pay Collections Call Center Specialist is responsible for one of the lasting impressions a patient will have of ... within the Patient Financial Services Call Center. The Self-Pay Collections Call Center Specialist will respond to a variety of questions from patients for both… more
- Reno Orthopedic Center (Reno, NV)
- …member to communicate with patients and insurance companies on claim status for billing or payment at our main location - 555 N. Arlington Ave. Who are we? At Reno ... with patients and insurance companies to gather status updates, appeal claims , resolve outstanding patient balances, and obtain information related to billing… more
- Avera (Sioux Falls, SD)
- …- Healthcare Finance Management Association (HFMA) Upon Hire or + Certified Specialist Payment & Reimbursement (CSPR) - Healthcare Finance Management Association ... This role combines expertise in analytics, charge auditing, and payment integrity to support strategic decision-making, operational efficiency, and compliance.… more